Superior canal dehiscence patients have smaller mastoid volume than age- and sex-matched otosclerosis and temporal bone fracture patients

Abstract

Background and objectives: The purpose of the study was to compare the mastoid air-cell volume of the patients with superior semicircular canal dehiscence syndrome (SCDS) and that of the control patients with otosclerosis and temporal bone (TB) fracture.

Subjects and methods: Ten patients with SCDS were enrolled and 10 patients with bilateral otosclerosis and TB fracture were selected as control groups by age and sex matching. To measure the mastoid air-cell volume, 3D reconstruction software was used.

Results: In 10 patients with SCDS, the mean age was 44.5 years, ranging from 16 to 79 years (M : F=4 : 6). Mean mastoid air-cell volume in the SCDS side was 3319.9 mm(3), whereas 4177.2 mm(3) in the normal side (p=0.022). Mean mastoid air-cell volume in the right side of otosclerosis patients was 6594.3 mm(3) and it was not different from 6380.5 mm(3) in the left side (p=0.445). Mean mastoid air-cell volume in normal side of TB fracture was 6477.2 mm(3). The mastoid air-cell volume in the SCDS side was significantly smaller than that of otosclerosis and TB fracture patients (p=0.009, p=0.002, respectively). The mastoid air-cell volume in the normal side of SCDS was significantly smaller than that of TB fracture (p=0.019), but not significant with that of otosclerosis (p=0.063).

Conclusions: Our findings revealed that the mastoid air-cell volume in the SCDS side was significantly smaller than control group, which suggest that the decreased mastoid pneumatization is closely related to the generation of SCDS.

Keywords: Computed tomography; Dehiscence; Mastoid; Radiology; Semicircular canals.

Fig. 1

Three-dimensional reconstruction of computed tomography scans was performed using a surface rendering algorithm. The volume of mastoid air-cell was automatically calculated by software.

Fig. 2

Comparison of the mastoid air-cell volumes between the superior canal dehiscence syndrome (lesion and normal side), temporal bone fracture (normal side) and otosclerosis (right-side) patients. ^*p=0.009, ^†p=0.002, ^‡p=0.063, ^§p=0.019 in Mann-Whitney U test.